God, AIDS, Africa & HOPE

Reflections / Gedanken

From lesbian sex and HVI transmission to the banning of the Red Cross in Catholic Schools- interesting read in between

Going to the high volumes of articles and journals in the field of HIV and AIDS I thought the following could be interesting for you:

Lesbian sex is thought to be the most safe one, but there is a fresh report from Houston in Texas confirming a rare female to female transmission of HIV. It is further reported that this transmission took place between two women in a monogamous relationship. All details of the story are published in “Morbidity and Mortality Weekly Report” – published 14.03.2014. To read a summary please click here

From the Mississippi Baby to the California Baby – we meanwhile know about the benefits of early treatment and the possibility of HIV eradication if treated within the first hours of infection.  Read more on this topic from the 21st Conference on Retroviruses and Opportunistic Infections here

From the CROI Conference as well there are new about safer sex without condom. Ever since the HPTN Study 052, it was concluded that having an undetectable HIV viral load strongly reduces the risk of HIV transmission. But how safe is condom-less sex if one’s viral load is undetectable? Read about the ongoing PARTNER study here

Hepatitis C – a short while ago a disaster for every person being HIV  has become a center of attention after treatment and cure evolved in a speedy way. The first medications have been retired shortly after introduction to make place for more effective treatment. Read about this exciting and important development here

HIV controllers were always an interesting study group. It was thought that those people could control HIV and were protected from getting sick. New research shows that the situation is more complicated and that such people have higher level of chronic inflammation. An interview with Jonathan Li, MD researching in this field might be giving interesting clues about the benefits and treats for those being naturally controlling HIV and you can read it here

Manila on the Philippines shows quite a rise on HIV infections and obviously the city responsible are trying to reign in with prevention messages and the free distribution of condoms. The dominant Roman-Catholic Church  condemns in the person of Auxiliary Bishop Broderick Pabillo this contribution and he calls to follow the example of Africa – where in his opinion only abstinence and fidelity has brought the numbers down. Read more about this interesting point of  view here

The Catholic Church in Belize has banned the Belize Red Cross amongst other organizations from all 200 Catholic Schools in the country. To read the response of the Red Cross click here

Filed under: Catholic Church, General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Politics and Society, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Worth reading..

Another look into the world or print today with worthwhile news and interesting articles:

The scares of Manhood tells the story of “proving manhood, alcohol and peer pressure of a South African youngster. Click here

Statistics about condom distribution, vaccinations and TB in South Africa are found here

Read about the reduction of bacterial vaginosis and other vaginal threats here

LGBT to be killed like mosquitoes – so the Gambian President Yahya Jammeh in an televised address. More here

Outrage about the imminent enactment of the Anti-Homosexuality Bill in Uganda which will also undermine HIV prevention. Read more here

Motsoaledi announces free new contraception in South Africa – more info here

The Roman Catholic Church is starting to reflect on families – read here what blunt assessment the Japanese bishops have on this topic

Enjoy the read.

Filed under: Catholic Church, General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Networking, Politics and Society, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , , , , , , ,

PreP – one does not hear a lot about it…

“We don’t know the side effects of this drug. It’s too expensive. Insurance won’t cover it. It hasn’t been studied enough. It will encourage slutty behavior. And why the hell don’t people just use condoms?”
Sounds familiar? That has been the objections raised to the oral contraceptive progesterone (“The Pill”), approved by the FDA 54 years ago. And it seems that with Truvada as an alternative method to prevent a HIV infection it started similar. Pre-exposure prophylaxis would add to more sexual contacts, critics claimed and they painted the picture of orgies and inhibited sex lives. In an article at TheBody.com Mark S King tries to tackle all those concerns and to come up with a new assessment about the drug and its benefits and disadvantages as a prophylaxis.
To read more go to TheBody.com.

Damon L Jacobs from New York tackles this topic from a more practical side. He decided to take Truvada as PrEP since 2011 and reports on his findings in an article on this blog. As he is also a psychotherapist and safe sex educator in NY and SF it is indeed an interesting read. For more go to the blog.

The question is obviously whether PrEp would also function in South Africa and what the financial implications would be, if insurance companies and even government would consider this to be offered on a wider scale. This is certainly up to a debate which we have to start sooner than later.

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Reflection, , , , , , , , , , , , , ,

PEPFAR and the Catholic Church

A street in Hillbrow, Johannesburg.

A street in Hillbrow, Johannesburg. (Photo credit: Wikipedia)

I am visiting Johannesburg and a Catholic institution asking for assistance in a difficult situation. The Catholic Church in South Africa has mainly relied on one big sponsor in the last years: PEPFAR, the US American President’s emergency fund. This was done for several reasons; one being that in the beginning it excluded any condom distribution or work with prostitution as a precondition for receiving these funds. There has been very much debate around it at World AIDS Conferences at times as this resulted in some countries showing a clear increase of infections again. Nevertheless, with the money lots of good was also done, amongst others instituting the distribution of antiretrovirals for thousands of South Africans.
The funds now drying up and so the Church is forced to transfer its patients to the governmental facilities with different results. As specially in Johannesburg also quite a big number of asylum seekers still without papers are among those catered for, these people would anyhow not be eligible for continuation of treatment in a primary health care facility.
So the need for special funding to at least get one doctor looking after those patients is needed and hopefully there is a way to support this for the new year.
From what I have seen and heard it seems that for many patients it is a bitter reality check: coming from church run clinics which really went the extra mile for a patient to ensure his or her health, governmental facilities are mostly overcrowded and not able to cope in this way with their patients. Experts fear, that people will be lost in transition or get lost in transition.This shows once again how important the support of the Catholic Church in providing medical services has been and it is to decry that lack of funding forces closure and that – at least in Johannesburg – the government now refuses to deliver antiretroviral medication as a matter of principle to NGO run medical facilities even if they could continue – forcing so the transfer in a way too often not beneficial for the patients.

With a generation of young people being born HIV positive and with the treat of resistance looming like we have seen it with TB, this country needs the continuation of support from all corners of society. Even if there is the growing impression that we have conquered and beaten the deadly pandemic, it might be too early to come to this conclusion. So it is really to hope that also the churches try their utmost to continue as many services as possible to give those infected and affected all necessary support.

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Filed under: Catholic Church, HIV and AIDS, HIV Prevention, HIV Treatment, Networking, Reflection, Religion and Ethics, Society and living environment, , , , , , , , , , , , , , , , , , ,

PrEP – what you need to know…

Conversation around HIV prevention breakthroughs in pill form has permeated brunch tables, newspapers, and doctors’ offices. But even though pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) have been approved as methods to prevent the transmission of HIV through sexual intercourse or intravenous drug use, some of those who could benefit from PrEP and PEP are still not quite sure how they work. Here are answers to some of the most frequently asked questions about PrEP.
What is PrEP?
Can I take it only on days I have sex?
Do I have to take it forever?Who should start a PrEP regimen?
Is it OK to use PrEP as the only method of HIV prevention?
What are the side effects of PrEP?
Read about all this on the informative page of HIVplusmag here.

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Trust, Medical and Research, Uncategorized, , , , , , , , , , ,

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